護理職場疲勞與工作過度投入之相關因素──以基層護理主管為例

Factors Associated with Occupational Burnout and Over-Commitment to work Among Nurses: A Survey of Junior Nurse Managers

目的：探討基層護理主管職場疲勞之工作過度投入及其相關因素。方法：採橫斷面描述性研究，方便取樣於北部某醫學中心全職且該職務至少六個月之基層主管（護理長及副護理長），2019年3月1日至5月30日發出問卷154份回收154份，有效問卷154份。研究工具有自擬基本資料表及中文職場疲勞量表離職意念量表。統計以SAS9.3進行資料建檔與分析。結果：基層護理主管工作過度投入平均得分為62.50分，以Pearson’s Correlation相關分析，工作過度投入與年齡負相關，與主管年資、管轄人數及延遲下班則呈現顯著正相關。工作過度投入預測變項：護理長、工作年資、主管年資、睡眠品質及自覺有工作壓力程度等五項，可解釋整體職場疲勞26.76％變異量。結論：護理工作充滿挑戰性和不確定性，隨著社會醫療產業e化，醫院管理者要正視護理執業環境的不利因素，改善基層護理主管執業環境，合理交付行政事務工作，我們期待醫院在照顧和維護所有台灣民眾健康，同時也能關切護理人員執業的幸福感。（澄清醫護管理雜誌2022；18（1）：40-48）

"Purposes:To determine the factors associated with occupational burnout and over-commitment to work among junior nurse managers and analyze the key predictors of occupational burnout.Methods:A cross-sectional descriptive study design was adopted. Junior nurse managers (head nurses and deputy head nurses) at a medical center in north Taiwan who had worked in their present position for at least six months were selected through convenience sampling. From March 1, 2019 to May 30, 2019, 154 questionnaires were distributed, and 154 valid questionnaires were returned. The research tools used in this study included a self-designed basic information questionnaire and the Chinese version of an occupational burnout and intention to quit scale. Data collation and statistical analysis were performed using SAS 9.3.Results:The mean over-commitment to work score of the junior nurse managers was 62.50 points. Results of Pearson’s correlation analysis revealed that over-commitment to work was negatively correlated with age and significantly positively correlated with length of managerial experience, number of employees managed, and working overtime. Predictors of over-commitment to work included the following: head nurse, length of work experience, length of managerial experience, sleep quality, and level of self-perceived work stress, which explained 26.76% of the overall variance of occupational burnout.Conclusions:Nursing work is fraught with challenges and uncertainties. With the digitalization of the social healthcare industry, hospital managements should recognize the factors that adversely affect the nursing practice environment, take steps to improve the practice environment of junior nurse managers, and ensure reasonable assignment of administrative work to these managers. It is hoped that the results of this study can serve as a reminder to hospitals to improve the well-being of nursing personnel during their practice while also safeguarding the health of the public. (Cheng Ching Medical Journal 2022; 18(1): 40-48)"